Cambridge Homestay Consultancy

Student Application for Homestay

Please complete the form as fully as possible. No information that you provide will be passed to any other organisation via any means without your consent.

Conditions of Application

I am entering freely into a home stay consultancy agreement. I consider myself flexible and willing to adjust to my host family's routine as much as possible.

I will respect the privacy and property of my host family, as I expect mine to be. I understand that home stay consultancy is primarily a placement service.

I understand that I am responsible for my own safety at all times and that it is up to me to be prepared for any situation. Cambridge Homestay is not responsible for my actions and will not be held liable for those actions.

I understand that to the best of Cambridge Homestay's ability families have been screened and interviewed, but I also understand that HSC can not predict or control events and I will not hold Cambridge Homestay liable for those events.

Condition *

If I wish to move home stays for my own personal reasons I maybe incur an administration fee. I may be refunded remaining fee's if I choose to leave the Cambridge Homestay agreement before its end date, subject to two full weeks notice.

First Name
Last Name
Home address
Email address
Phone Number
Emergency Phone number
Gender:	Male Female
Date of birth
Native Language
Other Languages spoken
Do you smoke?	Yes No
Do you have any medical conditions that we should be aware of?
Please list any specific request you have for a host family?
Is a taxi required from the airport?	Yes No
Do you require a mobile phone?	Yes No
What school will you be attending while you are here?
Expected arrival date in Cambridge
Expected departure date in Cambridge
Choice of Room.

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